0488U CPT® code: payer coverage and prior authorization

Payer policies and prior authorization for 0488U

Payer coverage policies that name 0488U

0488U appears in 10 coverage policies from Aetna, Blue Cross & Blue Shield of Mississippi, UnitedHealthcare.

PayerPolicyRole in policyReviewedDocument
AetnaMaternal Biomarker Screening for Fetal Conditions (0464)covered if criteria are metJul 17, 2026payer document
Blue Cross & Blue Shield of MississippiNoninvasive Prenatal Screening For Fetal Aneuploidies Microdeletions Singlegene Disorders And Twin Zygosity Using Cellfree Fetal Dnaunproven / investigationalpayer document
UnitedHealthcareCell-Free Fetal DNA Testing (2026T0560MM)listed, no stanceJul 1, 2026payer document
UnitedHealthcareCell-Free Fetal DNA Testing (CS085.AG)listed, no stanceAug 1, 2026payer document
UnitedHealthcareCell-Free Fetal DNA Testing (for Kansas Only) (CS085KS.04)listed, no stanceAug 1, 2026payer document
UnitedHealthcareCell-Free Fetal DNA Testing (for Kentucky Only) (CS085KY.14)listed, no stanceJul 1, 2026payer document
UnitedHealthcareCell-Free Fetal DNA Testing (for Nebraska Only) (CS085NE.G)listed, no stanceSep 1, 2026payer document
UnitedHealthcareCell-Free Fetal DNA Testing (for New Mexico Only) (CS085NM.F)listed, no stanceAug 1, 2026payer document
UnitedHealthcareCell-Free Fetal DNA Testing (for Ohio Only) (CS085OH.F)listed, no stanceAug 1, 2026payer document
UnitedHealthcareCell-Free Fetal DNA Testing (for Tennessee Only) (CS085TN.AA)listed, no stanceAug 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, MS.

  • AZ: $759.05 (lab), effective Oct 1, 2026
  • FL: $409.89 (lab_independent, non-facility), effective Jan 1, 2026
  • KY: $759.05 (lab), effective Jan 1, 2026
  • MS: $683.15 (comprehensive), effective Jul 1, 2026
  • ND: $0.00 (physician), effective Aug 1, 2026
  • VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.